Anaesthesia for mitrofanoff procedure in a young male patient with exstrophy-epispadias complex

Julie C.R. Misquith, M. Vidyarani, Aghna Faryal, Jayateertha Joshi, Sadashiva Rao

Research output: Contribution to journalArticle

Abstract

Purpose: One of the most challenging tasks of an anaesthesiologist is intraoperative and postoperative pain management. The exstrophy-epispadias complex is a congenital distortion not only of the genitourinary system but also the muscles of the wall of the abdomen and structures of the pelvis. The focus of surgical repair remains on bladder reconstruction and its surrounding structures with cosmesis and a better quality of life. Features: A twenty-year-old male, known case of exstrophy-epispadias complex, presented for Mitrofanoff repair for recurrent urinary tract infections. This case report highlights the use of lumbar epidural infusion of local anaesthetic bupivacaine and opioid fentanyl with general anaesthesia for Mitrofanoff procedure in urinary bladder exstrophy-epispadias surgery. Conclusion: Regional anaesthesia along with general anaesthesia has advantages such as decreased use of anaesthetic drugs intraoperatively, better haemodynamics, effective analgesia both intraoperatively and postoperatively. Although there have been differences in opinion on the usage of opioids in epidurals, it has been shown to facilitate early gastric motility, better analgesia and better recovery profiles.

Original languageEnglish
Pages (from-to)42-44
Number of pages3
JournalSri Lankan Journal of Anaesthesiology
Volume28
Issue number1
DOIs
Publication statusPublished - 01-01-2020

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All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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